ArticleMedicine2019
Anatomical localization of normal parathyroid glands before thyroidectomy through ultrasonography reduces postoperative hypoparathyroidism.
Article in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 12 citations in OpenAlex.
- Prevention of hypoparathyroidism: A step-by-step near-infrared autofluorescence parathyroid identification method.Frontiers in endocrinology · 2023Trial
- Normal appearance of the parathyroid gland on CT.European radiology · 2026Article
- Impact of intraoperative parathyroid identification and accidental removal on post-thyroidectomy hypocalcemia: a single-center 15-year experience.BMC surgery · 2026Article
- Ultrasonographic features of normal parathyroid glands confirmed during thyroid surgery in adult patients.Ultrasonography (Seoul, Korea) · 2024Article
- Ultrasound characteristics of normal parathyroid glands and analysis of the factors affecting their display.BMC medical imaging · 2024Article
- US features of normal parathyroid glands: a comparison with metastatic lymph nodes in thyroid cancer.Ultrasonography (Seoul, Korea) · 2023Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
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Abstract
Postoperative hypoparathyroidism due to dysfunction of the parathyroid gland is the most common complication after thyroidectomy. Our objective was to introduce the method of anatomical localization of normal parathyroid glands before thyroidectomy through ultrasonography and to evaluate its efficiency. The study group included 52 patients subjected to anatomical localization of the parathyroid gland prethyroidectomy through ultrasonography. The control group included 52 sex- and age-matched patients without parathyroid gland localization. The proportion of parathyroid glands preserved in situ and postoperative hypoparathyroidism rates in the 2 groups were compared. The rates of normal parathyroid glands identified according to ultrasonography for left superior, left inferior, right superior, and right inferior glands were 78.8%, 90.4%, 57.7%, and 82.7%, respectively. The rate of parathyroid gland excised inadvertently was significantly decreased (P = .038) in the study group as compared with the control group. The rates of parathyroid gland preservation in situ were significantly improved in the left superior (P = .001), left inferior (P = .002), and right inferior glands (P = .005). Furthermore, the incidence of transient hypoparathyroidism decreased significantly (P = .028). Our study indicated that normal parathyroid glands were identified by ultrasonography, and the anatomical localization improved the rate of parathyroid gland preservation in situ and decreased the incidence of transient hypoparathyroidism.
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